A CT scan may help to rule out other, often more serious causes for the patient's clinical presentation. [en.wikipedia.org]

• Tinnitus

  A cholesteatoma can also lead to: an ear infection – causing discharge from the ear hearing loss – this can be permanent vertigo – the sensation that you, or the world around you, is spinning tinnitus – hearing sounds coming from inside the body, rather [nhs.uk]

  "Pulsatile tinnitus as a rare presenting symptom of residual cholesteatoma". The Journal of Laryngology & Otology. 118 (2): 165–166. doi:10.1258/002221504772784694. [en.wikipedia.org]

• Ear Discharge

  discharge, perforation or ear surgery Congenital cholesteatomas occur at three important sites: the middle ear, the petrous apex, and the cerebropontinio angle. [en.wikipedia.org]

• Vertigo

  A cholesteatoma can also lead to: an ear infection – causing discharge from the ear hearing loss – this can be permanent vertigo – the sensation that you, or the world around you, is spinning tinnitus – hearing sounds coming from inside the body, rather [nhs.uk]

  If untreated, a cholesteatoma can eat or cause erosion of the three small bones located in the middle ear (the malleus, incus and stapes, collectively called ossicles).[5] This can result in nerve deterioration, imbalance, vertigo, and deafness early [en.wikipedia.org]

• Headache

  […] doctor with ear discharge and hearing loss, the doctor should consider cholesteatoma until the disease is definitely excluded.[4] Other less common symptoms (all less than 15%) of cholesteatoma may include pain, balance disruption, tinnitus, earache, headaches [en.wikipedia.org]

• Meningism

  […] hearing sounds coming from inside the body, rather than from an outside source damage to your facial nerve – this can cause weakness in half your face In very rare cases, an infection can spread into the inner ear and brain, leading to a brain abscess or meningitis [nhs.uk]

Such recurrence may arise many years, or even decades, after treatment. [en.wikipedia.org]

Ear canal cholesteatoma: metaanalysis of clinical characteristics with update on classification, staging and treatment. Curr Opin Otolaryngol Head Neck Surg. 2010;18: 369-76. doi: 10.1097/MOO.0b013e32833da84e [ Links ] 3. [scielo.isciii.es]

If the GP thinks your symptoms could just be an ear infection, they may offer you treatment for this first and ask to see you again once you've completed it. [nhs.uk]

[…] natural ear canal, rather than through the usual 5 cm incision behind the ear utilized in traditional microscopic surgery.[26] The 30 degrees endoscope allows access to the bony area of the Eustachian tube to address any obstructive pathologies.[26] Prognosis [en.wikipedia.org]

"Autoincudotomy as an uncommon etiology of conductive hearing loss: Case report and review of literature". Radiology Case Reports. 18 (4): 1461–1465. doi:10.1016/j.radcr.2022.10.097. ISSN 1930-0433. PMC 9925837. [en.wikipedia.org]

Cholesteatoma of the external ear canal: etiological factors, symptoms and clinical findings in a series of 48 cases. BMC Ear Nose Throat Disord. 2006;6:16 [ Links ] 4. Aymat A, Morgan DW, Henderson J. External acoustic meatus cholesteatoma. [scielo.isciii.es]

[…] subjected to human papillomavirus infection.[32] Indeed, DNA belonging to oncogenic HPV16 has been detected in cholesteatoma tissues, thereby underlining that keratinizing squamous epithelia could potentially be a target tissue for HPV infection.[32] Epidemiology [en.wikipedia.org]

"Cholesteatoma: Practice Essentials, Background, Etiology and Pathophysiology". Medscape. ^ "Cholesteatoma". MedlinePlus Medical Encyclopedia. U.S. National Library of Medicine. Retrieved 2018-09-21. ^ Wormald PJ, Nilssen EL (January 1998). [en.wikipedia.org]

To prevent this, these ossicles must be removed, which may diminish the patient's hearing. [en.wikipedia.org]

External auditory canal cholesteatoma and keratosis obturans: the role of imaging in preventing facial nerve injury. Ear Nose Throat J. 2011;90:E1-7 [ Links ] 34. Wormald PJ. Surgical management of benign necrotizing otitis externa. [scielo.isciii.es]